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Home My WebLink AboutBoswell - Form 410_2024-05-20 (SOS Copy)_RedactedStatement of Organization f I D 3 [e Stamp L ECEIVEDaD AND F I L Recipient Committee If the office of the Secretary of Statement Type Z Initial ❑ Amendment ❑ Termination — See Part 5 c4 the State of California 0 Not yet qualified or MAY 0 6 2024 O Date qualification threshold met Date qualification threshold met Date of termination I.D. Number 1. Committee Information pf npd rnNn; NAME OF COMMITTEE Mike Boswell for SLO City Council 2024 STREET ADDRESS (NO P.O. BOX) -� CITY STATE ZIPCODE AREA CODE/PHONE San Luis Obispo CA 93401 805-235-7877 FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) boswellforslo@gmai l.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE ISACTIVE San Luis Obispo City of San Luis Obispo Attach additional information on appropriotely labeled continuation sheets. NAME OF TREASURER ,vfichael R. Boswell II For DRidal use only STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE M— ■ San Luis Obispo CA 93401 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE 1 805-235-7877 NAME OF ASSISTANT TREA5URFR, IF ANY STRFET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA COUE/PHONE NAME OF PRINCIPAL OFFICER(S) A4ichael R. Boswell 11 STREET ADDRESS (NO PO- BOX) CITY STATE ZIP CODE M— ■ San Luis Obispo CA 93401 EMAIL ADDRESSOE PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE 805-235-7877 I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury `7under the laan ws of the State d correct. ExCCUted On CtI D , ` C�� ^ 8y FT U RE A OR A55157AN T T REASURE R RECEIVED Executed on i�f ` i ZOZ-� By DATE FFICEHOLDER,CANDIDATE.OR STATE MEASURE PROPONENT Executed on DATF Executed On DATE MAY 4 0 2U�4 By SIGNAFUREor CONTROLLING OFFICEHOLDER, CAN DIDATE, OR STATE MEASURE PROPONENT SLO CITY — CLERK By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(October/2023) FPPC Advice; advice�fppc.cagov (866/275-3772) www.fppc.ca.gov Statement of Organization UALIFiRRIMA 4 , Recipient Committee FORM IN Sri RUC rIONS ON REVERSE Pace 2 COMMITTEE NAME I D. NUMBER Mike Boswell for SL.O City Council 2024 All committees must list the financial institution where the campaign bank account is located and the persons) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AND PER5ONI5)AUTHOR12EO `O OBTAIN BANK RECORDS American Riviera Bank, Michael R. Boswell II ADDRESS OF FINANCIAL INSTITUT,ON 1085 Higuera Street AREACODE/PHONE 805-540-6243 CITY San Luis Obispo RANK ACCOUNT NUMBER pending filing 410 STATE ZIP CODE CA 93401 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable. • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICF SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Michael R. Boswell I1 San Luis Obispo City Council 2024 Nonpartisan Vr Partisan (list political party below) Nonpartisan Partisan S'•st political party below) Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATF(S) NAME OR MEASUREW FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(5) IURISDICTION IF A RECALL. STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPCAdvice! advice@fDpc.ca.EOv (856/275-3772) wTww.fp pc• ca.IKov Statement of Organization Recipient Committee • INSTRUCTIONS ON FEVFRSE. Page 3 COMMITTEE NAME I.U. NUMBER Mike Boswell for SLO City Council 2024 Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been me,: . This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. — There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. — Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Eiections Code Section 18680 and FPPC Regulation 18521.5. III Form 410 (October/2023) FPPC Advice: advice@fppc.ca.gov (666/275-3772) wvnv.fppc.ca.gov